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Primary care practices may be relying on advanced practitioners to accommodate new Medicaid beneficiaries following the passage of the Affordable Care Act

Nonphysican Practitioners Filling Post-ACA Primary Care Gap

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New Medicaid beneficiaries seeing nurse practitioners, physician assistants
The first states to expand Medicaid under the Affordable Care Act saw the largest increases in colorectal cancer screening from 2012 to 2016

First States to Expand Medicaid Had Largest Bump in Cancer Screening

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States expanding Medicaid later had screening rates more comparable to nonexpansion states
Eliminating the Affordable Care Act's individual mandate penalty is unlikely to destabilize the individual market in California but could roll back coverage gains

ACA Coverage Gains Could Erode Without Individual Mandate

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However, individual market in California not expected to destabilize because of mandate penalty
Despite numerous difficulties

Affordable Care Act Sign-Ups Higher Than Expected

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As of last Saturday's enrollment deadline, 8.5 million people in 39 states had enrolled
Enrollment for health insurance under the Affordable Care Act is down with just days left to sign up

Enrollment Under the Affordable Care Act Down From Last Year

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In most states, Saturday is the sign-up deadline for coverage beginning Jan. 1
Millions of workers gained insurance coverage under the Affordable Care Act without adverse effects on labor markets

ACA Coverage Substantial, but Did Not Impact Labor Markets

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Coverage gains did not negatively impact employment levels, hours worked, earnings
The federal government website where Americans can sign up for health insurance under the Affordable Care Act is up and running

Sign-Up Season Begins on HealthCare.gov

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Insurers are expanding their participation in the program
From 2013 to 2016

In 2016, Proportion of Uninsured Americans Down to 10 Percent

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Larger reductions in uninsured rate in Medicaid expansion states, from 15.3 to 7.6 percent
Medicaid expansion was associated with gains in insurance among low-income adults with substance use disorders

Medicaid Expansion Linked to Gains in Insurance Coverage

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But no corresponding increase in treatment of substance use disorders among low-income adults
Lesbian

Gains in Insurance Coverage Seen for Lesbian, Gay, Bisexual Adults

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However, in post-ACA era, lesbian, gay, bisexual adults still report trouble affording care